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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419985
Report Date: 06/26/2023
Date Signed: 06/26/2023 10:02:57 AM

Document Has Been Signed on 06/26/2023 10:02 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:VILLAGRANA FAMILY CHILD CAREFACILITY NUMBER:
197419985
ADMINISTRATOR:VILLAGRANA, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 800-2610
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 0DATE:
06/26/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Laura Villagrana, LicenseeTIME COMPLETED:
10:00 AM
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On 06/26/2023 at 9:00 a.m. an Informal office meeting was held at the El Segundo Regional Office. In attendance are Emiko Bell, Licensing Program Manager (LPM); Licensing Program Analyst (LPA) Suzette Ornelas. Also in attendance was Laura Villagrana, Licensee.

The purpose of this office meeting is to review the details of the child who wandered away from the home which occurred on 2/14/2023 and discussed care and supervision, physical plant and reporting requirements.

LPM Bell explained to licensee that letters of deficiencies cleared will be provided during today's visit, clearing the four citations which were issued on 05/25/23.

Licensee stated that she has 4 children currently enrolled between 5 months and 3 years old. Licensee's plan for care and supervision is to only sit with them during group activities, other than that, to be constantly walking and supervising. Licensee has continued to use a Velcro strap on the gate for added security. Licensee further stated that she has removed any items that are in disrepair or can potentially be a hazard to children to ensure safety moving forward.

Per licensee, she is aware that she is to report any unusual incidents to the Department within 24 hours by phone and fax andr email an unusual incident report to the office within 7 days. LPM Bell explained to licensee that an unusual incident is considered anything that does not happen regularly.

LPM Bell recommended that licensee is to watch the following five videos, which can be found at CCLD.childcarevideos.org: "Reporting Requirements," "Civil Penalty," "Supervising Children in Child Care," "Children's Personal Rights in Child Care," and "Locks and Accessibility Requirements in Child Care."
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE: DATE: 06/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VILLAGRANA FAMILY CHILD CARE
FACILITY NUMBER: 197419985
VISIT DATE: 06/26/2023
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Licensee will watch videos and provide a summary of what was understood after watching the videos due on or before 7/10/2023.

LPM Bell provided licensee with a Technical Support Program (TSP) brochure and informed licensee of their role.

The Regional Office will be conducting more frequent visits. Licensee must comply with all of the conditions as listed.

Licensee did not have any questions. Exit interview conducted and a copy of the report was provided to Laura Villagrana - Licensee.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2023
LIC809 (FAS) - (06/04)
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